Individual
ANTHONY BERL SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6320 EVERGREEN WAY STE 201, EVERETT, WA 98203-4560
(425) 350-2434
(425) 512-8049
Mailing address
4628 FOWLER AVE APT 56, EVERETT, WA 98203-2718
(406) 230-2633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60958734
WA
Other
Enumeration date
05/20/2019
Last updated
09/25/2020
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